| Technique | Risk | |-----------|------| | Forceful, repeated Valsalva | Eardrum rupture, round window fistula | | Inserting objects into ear canal | Infection, perforation, wax impaction | | Holding nose and blowing hard while congested | Pushing infection into sinuses or middle ear | | Using decongestant sprays >3 days | Rebound congestion (rhinitis medicamentosa) |
| Technique | Ease of use | Safety when sick | Effectiveness | |-----------|-------------|------------------|----------------| | Yawning / swallowing | Very easy | Very safe | Mild | | Toynbee maneuver | Easy | Safe | Moderate | | Gentle Valsalva | Moderate | Caution if pain | High but risky | | Nasal decongestant spray | Easy | Short-term only | High for congestion | | Steam inhalation | Easy | Very safe | Mild-moderate | | Saline nasal rinse | Moderate | Safe | Moderate | how to unpop ears while sick